GI

Question 1

what type of cancer results from Barrett’s esophagus

Answer 1

Adenocarcinoma

Question 2

hat type of esophageal cancer results from etoh/tobacco?

Answer 2

squamous

Question 3

chrons disease

Answer 3

-transmural
-strictures, fistulas
-anterior uveitis, PSC, pyoderma gangrenosum
a/w erythema nodosum

Question 4

signs of pancreatic cancer

Answer 4

painless jaundice, depression, weight loss
PE shows palpable nontender gallbladder (courvoisier sign) and migratory thrombophlebitis (trousseau syndrome)
palpable left supraclavicular lymph node (virchow) and palpable umbilical nodule (sister mary joseph)

Question 5

Vit A

Answer 5

night blindness, dry skin

Question 6

Vit C

Answer 6

scurvy (poor wound healing, petechiae, bleeding gums)

Question 7

Vid D

Answer 7

rickets

Question 8

B1 (thiamine)

Answer 8

beriberi (tingling, poor coordination, edema)

Question 9

B3 (niacin)

Answer 9

pellagra (diarrhea, dermatitis, dementia)

Question 10

B6 (pyridoxine)

Answer 10

atrophic glossitis,

Question 11

B12 (cobalamin)

Answer 11

seizures, nerve

Question 12

shigellosis

Answer 12

fever, bloody mucoid diarrhea, seizure in children

Question 13

GBS

Answer 13

increased CSF protein, tx with IVIG or plasmapharesis

Question 14

anaphylaxis epi dose vs

cardiac arrest

Answer 14

1: 1000
1: 10000

Question 15

SIRS

Answer 15

t<38 or <36
HR>90
RR>20 or PaCO2 <32
WBC>12K or <4K

Question 16

sepsis vs shock

Answer 16

SIRS + infectin

sepsis + hypotension

Question 17

Hypersensitivities

Answer 17

I-anaphylaxsis
II-AI hemolytic anemia, erythroblastalis fatalis
III-serum sickness (drugs)
IV-contact dermatitis, organ transplant

Question 18

MC brain tumor

Answer 18

metastatic disease
meningioma beningn
glioma is MC malignant

Question 19

first line option for constipation

Answer 19

psylium

then polyethelene glycol

Question 20

how to tx internal hemorrhoids

Answer 20

rubber band ligation

Question 21

Pancreatitis mcc

Answer 21

gallstones

Question 22

MC colorectal cancer

Answer 22

adenocarcinoma

Question 23

achalasia tx

Answer 23

nifedipine, nitro, botox, pneumatic dilation

Question 24

IBS dx

Answer 24

Rome Criteria

pain or discomfort relieved by defacation

Question 25

esophageal webs + Fe def anemia + dysphagia

Answer 25

Plummer Vinson

Question 26

most GI cancers are

Answer 26

adeno

Question 27

when does jaundice occur?

Answer 27

> 2.5 mg/dl

Question 28

gilbert vs

dubin johnson

Answer 28

increased indirect billi

increased direct billi

Question 29

wilson disease

Answer 29

decreased ceruloplasmin, copper, keyser fleisher

Question 30

how to tx varices

Answer 30

BB

Question 31

primary biliary cirrhosis

Answer 31

women, fatigue/pruritis

+antimitochondrial

Question 32

best lab for pancreatitis

Answer 32

lipase

Question 33

MC pancreatic cancer

Answer 33

ductal adeno

Question 34

chrones

Answer 34

fistulas/fissures, transmural

Question 35

toxic megacolon

Answer 35

colon dilation >6 cm + toxicity

bloody diarrhea, NH + bowel rest

Question 36

pseudomembranous colitis

Answer 36

C dif infection in large bowel
h/o recent clinda use
give vanco/fidaxomicin

Question 37

when to screen for PKU

Answer 37

24 hours after birth

Question 38

MCC ascending chloangitis

Answer 38

ampulla gallstone

Question 39

primary biliary cirhhosis

Answer 39

middle aged woman
fatigue, jaundice, pruritus,
antimitochondrial antibodies

Question 40

refeeding syndrome lab abnormality

Answer 40

hypophophatemia

Question 41

types of colon polyps

Answer 41

hyperplastic-no risk of malignancy
adenomatous-MC, possibly malignant, remoe and repeat colonoscopy in 5-10 years
malignant

Question 42

yersinia enterocloitis

Answer 42

diarrhea that is initially profuse and watery and later becomes bloody
may appear as pseudoappendicitis

Question 43

how to workup achalasia

Answer 43

barium xray shows birds beak
esophagela manometry
EGD

Question 44

travelers diarrhea

Answer 44

enterotoxigenic e coli

Question 45

anti smooth muscle antibody

Answer 45

AI hepatitis

Question 46

CMV esophagitis findings

Answer 46

enlarged nuclei, cytoplasmic and nuclear viral inclusions

Question 47

UC is a/w

Answer 47

pyoderma gangrenosum
crypt abscesses
goblet cells
P-ANCA

Question 48

gold standard GERD test

Answer 48

24 pH monitor

Question 49

hep b is a () virus

Answer 49

DNA

Question 50

how to tx anal fissure

Answer 50

nitro cream, sitz, fiber
posterior midline
lateral sphincterotomy

Question 51

SBO lab abnormalities

Answer 51

hypochloremia and hypokalemic metabolic acidosis

Question 52

chronic pancreatitis can lead to decreases in

Answer 52

B12

Question 53

hypercalcemia can lead to

Answer 53

pancreatitis

Question 54

excess Vit C can lead to

Answer 54

calcium stones

Question 55

hepatocellular carcinoma tumor marker

Answer 55

AFP

Question 56

thumbprinting on barium enema

Answer 56

mesenteric ischemia

Question 57

test of cure for H.Pylori?

Answer 57

urea breath test or stool antigen test

Wait 4 weeks after completion of antibiotics and d/c PPI for 2 weeks

Question 58

hemochromatosis

Answer 58

AR

liver disease, skin hyperpigmentation, arthropathy, cardiac enlargement

Question 59

ischemic colitis

Answer 59

acute ab pain, lower GI bleed

CT shows thickened bowel

Question 60

indirect hernia

Answer 60

patent processus vaginalis
lateral to inferior epigastric vessels
may extend into scrotum

Question 61

direct hernia

Answer 61

weakness of transversalis fascia
medial to inf epigastric vessels
may pass through superficial inguinal ring

Question 62

NAFLD

Answer 62

hepatic steatosis in absence of etoh
mildly elevated AST/ALT that are close
increased alk phos